Herndon, Jessica

Herndon, Jessica is an individual health care provider with primary practice located at 3131 S Main St , Moultrie GA 31768-6925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Herndon, Jessica can be contacted via phone (229) 985-3420.

Contact Information

Primary practice address
3131 S Main St Moultrie GA 31768-6925
Phone: (229) 985-3420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT002504 Georgia

Profile Details

NPI number 1730559733
LBN Legal business name Herndon, Jessica
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Sep 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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